Grafting for Implant supported complete overdenture?

For most of the cases that I see where a maxillary complete overdenture has been planned, there is insufficient bone height and volume in the anterior region, especially around the canine and lateral incisor area, and usually involves bone augmentation.  In the posterior, a sinus lift and graft is often required.  One of the problems that is difficult to overcome is that during the healing phase of anterior bone augmentation, the patient may not be able to wear a complete denture without endangering the healing of the anterior graft.  The healing phase may last several months.  I have heard one approach of placing the posterior implants first and using those to stabilize an overdenture with no anterior flange.  Any feedback on this issue? How do you approach this problem?  Any way for the patient to wear a complete denture or overdenture while the anterior graft is healing?  Any training courses available that teach how to manage cases like this?



4 thoughts on “Grafting for Implant supported complete overdenture?

  1. Alfonso D says:

    The way I have approached this situation in the past is to relieve the denture flange as needed after the bone grafting procedure so it is not impinging on the surgical site and then place a soft liner .

    (0)
  2. Pankaj Narkhede DDS MDS says:

    The approach of placing the posterior implants first and using those to stabilize an overdenture with no anterior flange is the way to do it. Patient is thoroughly explained about the plan of action. Secondly use transitional implants / mini implants temporarily to attach the denture. I don’t know any training courses but if you need any help u may contact me. I have used mucosal implants for denture retention before mini implants were introduced.

    (0)
    • Roger Gomez says:

      Hi Dr Narkhede
      This is Dr Gomez fr Sydney
      I routinely use either standard or minis . However I haven’t used mucosas implants. Could you pass any clinical information or suppliers or courses provided?
      regards
      Roger Gomez
      Sydney
      Australia

      (0)

Comments are closed.

Posted in Clinical Questions, Surgical.
Bookmark Grafting for Implant supported complete overdenture?

Videos to Watch:

Sinus Lift Crestal Approach using Hydraulic Pressure

This video demonstrates the crestal approach for sinus lift, following extensive maxillary sinus pneumatization after[...]

1 Comment

Watch Now!
GBR in Labial Plate Bone Fracture

This video case shows guided bone regeneration in a patient who presented with root and[...]

1 Comment

Watch Now!
Ridge Split Technique using Vestibular Incision Approach

The alveolar ridge split technique is a predictable and reliable procedure, though case selection is[...]

3 Comments

Watch Now!
Lateral Sinus Lift: Perforation, Repair, and Implants

These two videos demonstrate the lateral window sinus technique, and implant placement following the repair[...]

Watch Now!
Single Tooth Replacement with Implants in the Esthetic Zone

Dr. Jack Hahn provides tips and reviews cases for implant placement in the esthetic zone.[...]

Watch Now!
Surgical Consideration for the Flapless Approach

In this video, Dr. Jack Hahn discusses and presents cases to review the surgical considerations[...]

Watch Now!
Bond Apatite: Socket Preservation Cases

These 2 videos show the use of Bond Apatite in socket preservation cases, one with[...]

Watch Now!
3D Guided Implant Placement

The placement of multiple implants in this case was helped thru the use of 3d[...]

Watch Now!
Ridge Splitting Cases in Narrow Alveolar ridge

This videos shows ridge splitting, which when combined with bone expansion, is an effective technique[...]

Watch Now!
Placement of 4 Implants and Cement-Retained Bridge

The treatment plan was to extract the lower incisors, canines, and lower premolar and place[...]

Watch Now!
Failing Bridge Replaced with Dental Implant Supported Bridge

Ahe patient presented with a failed dental bridge from the upper right canine to the[...]

Watch Now!
Lateral Sinus Augmentation with CGF

Following membrane elevation with the lateral approach, and confirmation of an intact sinus membrane, concentrated[...]

Watch Now!